Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN NEIL JOHNSON, PT,ATC
Active Sole ProprietorKEVIN NEIL JOHNSON, PT,ATC is a Sports Medicine (PM&R) healthcare provider located in LAKEVILLE, Minnesota. NPI 1770806374 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · LAKEVILLE, MN
Registration Details
- NPI Number
- 1770806374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2010 (16.397484461335 yrs)
- Last Updated
- Mar 10, 2010
- License
-
4901 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9913 214TH ST W STE BLAKEVILLE, MN, 550441914Browse MN providers · Browse ZIP 55044
- Phone
- 9529852020
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.